<div id="binfor">
	<p id="btitle">Payment Information</p>
	<br />
	<hr/>
	<br />
	<div id="bpayment">
		<p> Username </p>
		<input type="text" name="username" id="username" value="{username}" disabled="disabled"/>
		<br />
		<br />
		<p> Phone </p>
		<input type="text" name="phone" id="phone" value="{phone}" />
		<br />
		<br />
		<p> Address </p>
		<input type="text" name="address" id="address" value="{address}" />
		<br />
		<br />
		<input type="submit" name="submit" id="submit" value="Buy" />
	</div>
	
</div>
</form>